2019 Genealogy-History Fair RegistrationSaturday, August 24, 2019 ●10am - 3pm
Pottorf Hall, CiCo Park, Manhattan, Kansas
Table Application Form
Please complete & return to: Charlene Brownson c/o RCGS, 2005 Claflin Rd, MHK 66502 by Aug 5th
Organization or Business ___________________________________________________________
Contact person _______________________________Address _____________________________
Email ____________________________Cell phone #_____________________________________
Description of your booth’s activities and purpose ____________________________________
_________________________________________________________________________________
Do you need electricity? ___Yes ___No [please bring your own extension cords]
Reserve ½ table _____ or reserve full table_____
Special requests _________________________________________________________________________________
Guidelines:
Hold Harmless Agreement
Exhibitor shall and will indemnify and save harmless RCGS,RCHS and M, and M/RCPA, Pottorf Hall, and it’s respective members, agents, and employees, from and against any and all liability, claims, demands, expenses, fees, fines and penalties, suits, proceedings, actions, and causes of action of any and every kind and nature arising or growing our of or, in anyway connected with Exhibitor’s use of occupancy of area, or any of Exhibitor’s activities in Pottorf Hall.
The below signed has read, understands, and agrees to the Hold Harmless Agreement.
Completing and signing this form constitutes authorization to publicly identify the person or organizations (s) represented.
Signature _______________________________________ Date ___________________________
(Exhibitor)
Name ____________________________________________________________________________
(Please Print)
Authorized ________________________________________________________________________
(RCGS representative)
*Deadline to return registration form is Aug 5, 2019. Contact Charlene at cmb@ksu.edufor late entries. Space is limited, reserve your table early.
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